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1174116966
JORDAN ROACH
TAHLEQUAH, OK
NPI
1174116966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-02-12
Last Update Date
2021-02-12
Business Address
JORDAN ROACH
711 S MUSKOGEE AVE UNIT 1
TAHLEQUAH, OK 74464-4717
Phone number: 918-771-0411
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Mailing Address
JORDAN ROACH
711 S MUSKOGEE AVE UNIT 1
TAHLEQUAH, OK 74464-4717
Phone number:
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